Multiple doctors talking through a patient case and their journey

Pre-Hospital

• So, let’s outline the pre-hospital situation of our case…
• What will the ambulance/retrieval team do?

A&E

• What then happens in A&E?
• What is a major bleed protocol?
• What we do we then assess after initial resuscitation?

Surgery

• Ok, so how do we stop the bleeding?
• Here’s the splenic injury scale…
• What are the different management options for splenic injury?
• Here’s pictures and a diagram of the spleen…

Anaesthetics

They’re quite involved throughout situations like this - either during initial resuscitation, or during the surgery etc.

• What is the definition of major haemorrhage?
• What are the priorities in major haemorrhage?
• Reminder of the management steps in a major haemorrhage
• Once you’ve bled enough to die… the rest is irrelevant…
• What triggers alert us to danger?